HI SB2505

Authorizes licensed paramedics in counties with populations of 100,000 or less to administer buprenorphine to opioid overdose patients after administering naloxone, beginning July 1, 2026

Requires patients to be alert with decision-making capacity, meet clinical criteria, and receive same-day or next-day referral to a designated treatment provider

Department of Health must establish clinical protocols, designate treatment centers capable of accepting patients within 24-48 hours, and provide paramedic training

Creates a two-year phased pilot program with mandatory reporting to the legislature within 20 months evaluating patient numbers, withdrawal outcomes, and treatment engagement rates

Appropriates unspecified general funds for fiscal year 2026-2027, with the pilot program provisions sunsetting on June 30, 2028